Wearable partial task surgical simulator

ABSTRACT

A wearable device for simulating wounds and injuries received during a trauma event includes a raiment and vest for covering the torso of a person. The raiment has an outer surface with a color and a texture comparable to human skin. Mounted on the outer surface is at least one wound simulator formed with an orifice that is in fluid communication with a fluid reservoir. Thus, the person can selectively expel a blood-like fluid from the reservoir, and through the wound simulator orifice, to simulate a trauma event. The vest includes an artificial rib cage and prosthetic internal organs juxtaposed with at least one wound simulator to simulate internal effects of a trauma event.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No.15/919,037, filed Mar. 12, 2018 and entitled “Wearable Partial TaskSurgical Simulator”; which is a continuation of U.S. patent applicationSer. No. 14/943,099, filed Nov. 17, 2015, entitled “Wearable PartialTask Simulator” and issued as U.S. Pat. No. 9,916,774 on Mar. 13, 2018;which is a divisional of U.S. patent application Ser. No. 14/494,490,filed on Sep. 23, 2014, entitled “Wearable Partial Task Simulator”, andissued as U.S. Pat. No. 9,336,693 on May 5, 2016; which is a divisionalof U.S. patent application Ser. No. 12/803,609, filed on Jun. 30, 2010,entitled “Wearable Partial Task Simulator”, and issued as U.S. Pat. No.8,840,403 on Sep. 23, 2014, the contents of which are all incorporatedherein by reference in their entirety.

BACKGROUND OF THE INVENTION Technical Field

The present invention pertains generally to devices and methods for usein simulating the injurious effects of a traumatic event on a person.More particularly, the present invention pertains to devices and methodsfor simulating the wounds and injuries that a person may receive duringsuch an event. The present invention is particularly, but notexclusively, useful as a training aid for providing realistic-lookingmedical effects to first responders, in a dynamic presentation, whenpracticing first aid on a person who has experienced trauma.

Related Art

As is well known, and widely accepted, partial task simulators andtraining aids can be very effective for teaching individuals how toperform a wide variety of different tasks. More specifically, they canbe extremely helpful for teaching an individual how to perform certainmedical procedures. In this context, and of particular importance forthe present invention, are those medical procedures that are requiredfor response to a life-threatening, emergency situation. The import hereis two-fold. Firstly, the partial task simulator should effectivelyaugment the educational background that is necessary to assess anemergency situation. Secondly, it should serve as a tool with which aperson can learn how to respond to an emergency situation by properlyperforming essential life-saving tasks. The efficacy of any partial tasksimulator or training aid, however, is dependent on the realism itprovides and its ability to simulate or mimic an environment where thetask is to be actually performed.

With the above in mind, a catastrophic event presents a situationwherein the proper training of emergency medical personnel can beinvaluable. Regardless whether the event is the result of an accident, anatural disaster or some form of combat, the consequence of a firstresponse to the event may make the difference between life and death. Insuch instances, the ability of medical personnel to rapidly and reliablyattend to wounds and injuries is of crucial importance. Practice onpartial task simulators such as medical mannequins, while valuable asteaching aids, are limited by the mannequin's immobility, weight,expense and minimal interaction with the medical personnel.

In light of the above, it is an object of the present invention toprovide a device for realistically and dynamically simulating the woundsand injuries on a person (e.g., role player, actor) that can be receivedduring a traumatic event. Another object of the present invention is toprovide a device that effectively functions as a training aid to teach aperson how to treat the wounds and injuries that can be received by aperson during a traumatic event. Another object of the present inventionis to provide a device that effectively functions as a training aid thatallows verbal and gesticular interaction between a live human wearingthe device and a first responder who is treating the person wearing thedevice. Still another object of the present invention is to provide atraining aid for teaching how to treat wounds and injuries that is easyto use, is simple to manufacture and is comparatively cost effective.

The present disclosure is directed toward overcoming known problems andproblems discovered by the inventor.

SUMMARY OF THE INVENTION

In accordance with the present invention, a partial task surgicalsimulator (training aid device) is provided for simulating the woundsand injuries on a role player, actor or model that could be received bya person during a trauma event. Specifically, the device includes araiment fitting over strapped vests that are dimensioned to cover thetorso of a person and therefore be worn by a person in a simulation.Further, the raiment can extend over the person's shoulders and upperarms, as well as over his/her groin area and upper thighs. Structurally,the raiment is made primarily of silicone and nylon fiber, and it isformed as a layer having an inner surface and an outer surface, with theouter surface having a color and a texture that is comparable to humanskin. The vest is designed to fit under the raiment and on the torso ofa body. Structurally, the vest is made primarily of silicone, nylonfiber, plastic and rubber materials, and it is formed as a shieldportion covering the front and side of the torso held in place bystraps. The vest provides a protective layer between the raiment and themodel or actor. The vest is further designed to provide a detail of theinternal structure of a human body, such as the rib cage and internalorgans. The vest forms a cavity generally under and below the rib cagein which such prosthetic internal organs can be placed. The importanceof the invention is that the simulator presents first responders withrealistic-looking, dynamic medical effects that can simulate and mimic aplurality of different wounds and injuries.

As part of the presentation for simulating a trauma event, the device ofthe present invention comprises a wound simulator that can beselectively attached to the outer surface of the raiment. The woundsimulator can then simulate either surface or penetrating wounds andinjuries. For example, the wound simulator can be used to simulatesurface injuries such as burns, scrapes, abrasions, or the effects ofchemical, biological or nuclear agents, or the result of internalinjuries from punctures and other injuries. Additionally, the woundsimulator can be used to simulate penetrating injuries such as high andlow velocity missile wounds caused by gunshot, shrapnel, and blunt/sharpobject penetration.

In order to provide added realism for the simulation of penetratingwounds, the raiment is formed with at least one orifice on its outersurface. Further, the raiment includes at least one fluid reservoir thatis formed into the layer of the raiment, between its inner and outersurfaces. Specifically, the reservoir is provided for holding ablood-like fluid, and it is connected in fluid communication with theorifice. Thus, the person who is wearing the raiment can selectivelyexpel the blood-like fluid from the reservoir and through the orifice,merely by squeezing the reservoir, to simulate bleeding. Depending onthe particularly desired presentation, a wound simulator may bejuxtaposed with the orifice to simulate bleeding from the wound.

In addition to the outward appearances of traumatic wounds and injuriesmentioned above, the present invention also employs prosthetics to mimiccertain internal organs and anatomical structures that may be affectedby the trauma event. These prostheses are made of composite materialssuch as open or closed cell polyurethane foam of various densities,elasticity, and deformation characteristics to simulate internal organs.Specifically, these prostheses can be used to mimic torso injuries(e.g., abdominal, upper torso; as well as other injuries, such as thoraxwounds/injuries).

For the simulation of penetrating wounds, the present invention includesaccess through the raiment, such as through an orifice, to internalorgans within the cavity of the vest. Further, the orifice, woundsimulators, reservoirs and internal organs are positioned and juxtaposedto simulate various injury scenarios, which may be selectively done. Forexample, the organs may include a predetermined length of flexibletubing that is comparable in appearance and texture to intestines. Whenused, this pseudo intestine is positioned between the vest and the innersurface of the raiment. Further, a portion of the pseudo intestine canbe juxtaposed with at least one orifice in the raiment for use insimulating the penetrating abdominal wound within the torso cavity.Similar simulations can be used for various upper torso injuries (e.g.,lungs, heart, kidneys, stomach, etc.).

BRIEF DESCRIPTION OF THE DRAWINGS

The novel features of this invention, as well as the invention itself,both as to its structure and its operation, will be best understood fromthe accompanying drawings, taken in conjunction with the accompanyingdescription, in which similar reference characters refer to similarparts, and in which:

FIG. 1 is a front view of a raiment in accordance with the presentinvention mounted on a human body;

FIG. 2A is a perspective view of a vest in accordance with the presentinvention mounted on a human body;

FIG. 2B is a front view of a vest in accordance with the presentinvention;

FIG. 2C is a side view of a vest in accordance with the presentinvention;

FIG. 3A is a perspective view of the simulator of the present inventionwith cut away views to show internal features of the raiment;

FIG. 3B is a cross sectional view seen along line 2-2 in FIG. 3A;

FIG. 4 is side view of a simulator in accordance with the presentinvention mounted on a human body with a cut away view of the vestunderneath the raiment;

FIG. 5 is an exploded view of prosthetic internal organs of the presentinvention; and

FIG. 6 is a perspective view of the prosthetic thorax of the invention.

DETAILED DESCRIPTION

Referring initially to FIG. 1, a simulator in accordance with thepresent invention is shown and designated 13. As shown, a raiment inaccordance with the present invention is also shown and designated 10.As shown, the raiment 10 is dimensioned and fitted to cover a person 12(e.g., person, role player, actor, model). As such, the raiment 10 is abase member of the simulator 13. More specifically, the raiment 10 isintended to be wearable by a person. Accordingly, it is intended tocover the torso of a person 12, and to extend over the shoulders, upperarms, groin area and upper thighs of the person 12. For purposes of thisdisclosure, the person 12 is shown in FIG. 1 to present these anatomicalfeatures. FIG. 1 also indicates that a wound simulator 14 can be usedwith the raiment 10, and that the raiment 10 can be formed with anorifice 16 from which a blood-like fluid 18 can be expelled. Forexample, the wound simulator 14 can be used to simulate surface injuriessuch as burns, scrapes, abrasions, radiation, or the result of internalinjuries from punctures and other injuries. Additionally, the woundsimulator 14 can be used to simulate penetrating injuries to theinternal cavity of the human torso. As further shown in FIG. 1 (andFIGS. 3A and 3B), blood-like fluid 18 may be expelled in various ways(e.g., patches, spots, drops, drips, puddles, ooze spots).

As further shown in FIG. 1, the raiment 10 is made of a layer 20 havingan outer surface 24. Preferably, the layer 20 is made of a siliconmaterial that contains nylon fibers. However, other materials may alsobe used, such as carbon fibers, other composite materials, latex andother rubber materials. In any event, the layer 20 must be sufficientlyflexible to allow it to be worn by a person 12 as the person 12 moves tomimic the motions of a severely injured victim of a traumatic event. Forthis purpose, the outer surface 24 of the raiment 10 is preferablycolored and textured to simulate human skin. In alternative embodiments,portions of inner layer 22 may be resin coated to protect the person 12from being cut, such as by a surgical instrument in simulating traumaevents and response to trauma events.

Referring to FIG. 2A, a vest in accordance with the present invention isalso shown and designated 11. As shown, vest 11 is dimensioned to fit onthe torso of a person 12 underneath the raiment 10. Vest 11 is fittedonto a person 12 by portions 40, 42 and 44 and straps 38 a and 38 b.More specifically, vest 11 has a first portion 40 covering at least partof the chest of a person 12. Portion 40 is akin to a shield. Portion 40may be used to protect the person 12 in the course of simulating traumaevents and responses to trauma events. Accordingly, it may be made ofrigid material, such as polyurethane resin or resin coated.

Vest 11 has a second portion 42 attached to the first portion 40 andforms a cavity 34 in the general area between the first and secondportions 40, 42. Vest 11 also has third and fourth side portions 44attached to the first portion 40 and covering at least part of the sidesof the torso of a person 12. Portions 44 may be integrated into portion40, such as being one continuous portion. Portions 44, 42 and 40 mayalso be integrated together into one piece constituting the majorcomponent of vest 11, other than straps 38. Portions 40, 42 and 44 mayalso be attached by various conventional mechanical means such asadhesives, fasteners, welding, melding and other joiners. Portions 40,42 and 44 are preferably constructed of composite or plastic material,but other and additional materials may also be used, such as siliconmaterial that contains nylon fibers, carbon fibers, other compositematerials and latex and other rubber materials.

As shown in FIGS. 2A and 2B, portions 40 and 44 have front and backsides 70, 72. In general, the back sides 72 face towards person 12 andthe front sides 70 face away from person 12. As also indicated in FIGS.2A, 2B and 2C, front side 70 of portions 40 and 42 may be colored ortextured to mimic or otherwise resemble the internal cavity of the torsoof a body.

Also, as shown in FIGS. 2A, 2B and 2C, portion 42 is preferably made asan artificial rib cage 32. As such, portion 42, as rib cage 32, is aprosthetic resembling a human rib cage. Portion 42, including as ribcage 32, is positioned against the inner surface 22 of the raiment 10(see also FIGS. 3A, 3B, 4) to simulate a skeletal structure. As alsoshown, at least one prosthetic internal organ 36 (e.g., intestine 30) ispositioned within the cavity 34 of the vest 11.

The one or more prosthetic internal organs 36 (e.g., intestine 30 asshown in FIGS. 2A, 2B, and 2C; lungs 46, heart 48, stomach 50, kidneys52, bladder 54, liver 56, diaphragm 60 and spleen 62 as shown in FIGS. 4and 5) are attached to vest 11 by fittings, adhesives, fasteners,welding, melding and other joiners. Alternatively, one or moreprosthetic internal organ 36 may be positioned within cavity 34 of vest11 without attachment to vest 11.

As further shown in FIGS. 2A, 2B and 2C, the vest 11 is intended tocover at least a part of the front of the torso of a person 12 and tofit over the person's shoulders or around the person's neck by straps 38a and around the torso of the person by straps 38 b. Straps 38 a aresecured to portion 40 of vest 11 and may be secured together or to otherstraps by various well known means (e.g., buckles, ties, Velcro, etc.).Straps 38 b are secured to portion 40 or 44 of vest 11 and may besecured together or to straps 38 a in the same fashion.

The structural aspects of the raiment 10 will be more fully appreciatedby referencing FIGS. 3A and 3B. There it will be seen that layer 20 ofthe raiment 10 has inner surface 22 in addition to an outer surface 24.FIGS. 3A and 3B show that the layer 20 of raiment 10 can be formed withone or more reservoirs 26 for holding the blood-like fluid 18 therein.As shown, reservoirs 26 may be embedded in raiment 10 between inner andouter surfaces 22 and 24 or covered by raiment 10. Reservoirs 26 mayconstitute any shape, including generally rectangular or circularpockets (over the right chest area of person 12 in FIG. 3A), strand likepockets (over the stomach area of person 12 in FIG. 3A) or separatecontainers (over the left shoulder of person 12 in FIG. 3A). Reservoirs26 may be attached to raiment 10 by fluid channels 28. Fluid channels 28preferably constitute flexible tubing mounted under the outer surface 24of the raiment 10 and may extend and join to reservoirs 26 proximate toor distant from the raiment 10. Tubing for fluid channels 28 may be ofpredetermined length. Fluid channels 28 constituting such tubing may bepositioned against the inner surface 22 of the raiment 10 with a portionthereof juxtaposed with at least one orifice 16. For example, a fluidchannel 28 is provided to connect the reservoir 26 in fluidcommunication with the orifice 16 for use in simulating a penetratinginternal wound. Importantly, the reservoir 26 is positioned so it can besqueezed by a hand of a limb of the person 12 who is wearing the raiment10. Reservoir 26 may be also positioned to be manipulated by the person12 wearing the raiment 10 to expel blood like fluid 18 in alternativeways, such as by applying pressure with a limb to the reservoir 26 or bychanging the position of person 12. This will then cause a portion ofblood-like fluid 18 to be expelled from the reservoir 26 and through theorifice 16 to simulate bleeding. As shown, wound simulator 14 may befurther aligned with orifice 16 to further simulate the injury, wound orother trauma event.

As shown further in FIG. 3B, reservoir 26 may be filled with blood likefluid 18 and may further be refillable via conventional means, such asfilling fluid 18 into reservoir 26 via the same opening for connectionof reservoir 26 to channel 28. Or reservoir 26 may be a separatecontainer or pocket with a separate opening for filling reservoir 26with fluid 18. As such, reservoir 26 may be used to expel fluid 18 formultiple uses. Reservoirs 26 are also preferably replaceable formultiple uses of simulator 13 to simulate multiple trauma events.

Referring back to FIG. 1, it will be appreciated that wound simulator 14can be juxtaposed with the orifice 16 to simulate a bleeding abrasion.On the other hand, the orifice 16 can be presented as a puncture wound,substantially as shown in FIG. 1, without a surrounding wound simulator14. By further example, orifice 16 can also present an opening to thecavity 34 of vest 11 to display and access one or more prostheticinternal human organs 36 during simulation of a penetrating wound to thehuman body. As intended for the present invention, the orifice 16 andthe wound simulator 14 can be located anywhere on the raiment 10, asdesired, to simulate a plurality of different wound/injurypresentations. Also, the wound simulator 14 can be used alone tosimulate gas or liquid agent injuries.

In addition to the superficial wound/injury presentations disclosedabove, the present invention also envisions presentations for internalinjuries. Specifically, with reference to FIGS. 4 and 5, it will be seenthat the present invention includes various prostheses for use insimulating wounds/injuries that might be received in a trauma event.These prostheses include: a prosthetic intestine 30, a prosthetic ribcage 32, prosthetic lungs 46, a prosthetic heart 48, a prostheticstomach 50, prosthetic kidneys 52, a prosthetic bladder 54, prostheticliver 56, prosthetic diaphragm 60 and a prosthetic spleen 62. In detail,for example, the prosthetic intestine 30 is a length of flexible hosingthat is made to resemble a real intestine. Such flexible hosing may beused as fluid channel 28 or reservoir 26 to selectively expel blood likefluid 18. Alternatively, fluid channel 28 and reservoir 26 may beselectively attached to the hosing of intestine 30 to simulate bleedingfrom the intestine 30 during simulation of a trauma event. Similararrangements can be made with respect to any of the organs 36.

Preferably, the prosthetic internal organs 36 (30, 46, 48, 50, 52, 54,56, 60, 62) and rib cage 32 are made from composite, plastic or rubbermaterials. These prostheses of internal organs 36 (30, 46, 48, 50, 52,54, 56, 60, 62) are most preferably made of composite materials such asopen or closed cell polyurethane foam of various densities, elasticity,and deformation characteristics to simulate internal organs. Other andadditional materials may also be used, such as silicon material thatcontains nylon fibers, carbon fibers, other composite materials andlatex and other rubber materials. The prosthetic rib cage 32 ispreferably made from rigid material, such as rigid polyurethane resinmaterial. In use, both the prosthetic rib cage 32 and any desiredcombination of prosthetic internal organs (30, 46, 48, 50, 52, 54, 56,60, 62) are positioned between the body of the person 12 (actor) who iswearing the raiment 10, and the inner surface 22 of the raiment 10within the cavity 34 of the vest 11.

As shown in FIG. 4, and also in connection with FIGS. 3A and 3B,internal prosthetic organ(s) 36 may be positioned proximate to at leastone orifice 16 and at least one fluid reservoir 26 for simulation of apenetrating wound to the human torso. In use, the raiment 10 of thepresent invention can be used with any combination of superficialwounds/injuries disclosed above. Specifically, there may be a pluralityof reservoirs 26, with a corresponding number of orifices 16. Likewise,a plurality of wound simulators 14 can be used.

The prosthetics of organs 36 (i.e. intestine 30, rib cage 32, lungs 46,heart 48, stomach 50, kidneys 52, bladder 54, liver 56, diaphragm 60,spleen 62 (see FIG. 5) and thorax described below may, or may not, beused, as desired. The prosthetic organs 36 may be combined within thecavity 34 in various combinations to simulate wounds and injuries. FIG.4 shows a preferred embodiment including a large group or package oforgans 36. Further, the prosthetic organs 36 may be combined into suchpackages and formed to represent certain wounds and injuries. Forexample, a package may be assembled to simulate injuries to the lungs 46and heart 48 and another package may be assembled to simulate injuriesto the stomach 50 and liver 56. The prosthetic organs 36 and packages ofprosthetic organs are interchangeable so that various injury scenarioscan be simulated. The wound simulators 14, orifices 16, channels 28 andreservoirs 26 are similarly interchangeable and positionable inalternative arrangements so that various injury scenarios can besimulated. And, as explained above, the positions of the woundsimulators 14, orifices 16, channels 28, reservoirs 26 and organs 36 maybe selectively juxtaposed to simulate various wounds and injuries.Collectively, the component elements of the present invention areintended to be used to simulate or mimic the various wounds/injuriesthat are likely to be received by a person involved in a traumaticevent.

As shown in FIG. 6, in alternative embodiments, penetrating injuries tothe thorax can also be simulated by mounting a prosthetic thorax 80under or on the raiment 10 in the area of the neck of the person 12. Indetail, the prosthetic thorax 80 is held on a bib 81 by retaining straps82 a and 82 b, and the bib 81 is mounted or fitted around the neck ofperson 12. For example, bib 81 can have straps, ties, Velcro or otherfasteners to secure bib 81 at the back of the neck of person 12. Theprosthetic thorax 80 and bib 81 can fit underneath or over raiment 10.Structurally, the prosthetic thorax 80 includes an elongated hollowtube-like member 84 that has an open end 86 and a closed end 88. Foruse, the tube 84 is presented on the bib 81, and the bib 81 ispositioned on the throat of the person 12 with the open end 86positioned for receipt of a cricothyroid tube (not shown). Thus, theprosthetic thorax 34 can be used for simulating an invasive surgicalplacement of a cricothyroidotomy. Operationally, the tube-like member 40is held on the raiment 10 to mimic a thorax, and to present its open end86 for access thereto with a chest tube during a simulation of apenetrating wound to the thorax. These prostheses can be made ofplastic, rubber or composite materials, such as open or closed cellpolyurethane foam of various densities, elasticity, and deformationcharacteristics to simulate internal organs.

Use of the wearable partial task surgical simulator 13 as a teaching aidis accomplished by using the simulator 13 on a person 12 who portrays aninjured person in a trauma event. The simulator 13 dynamically simulatesthe wounds and injuries the person 12 received during the simulatedtraumatic event. The simulator 13 is set up to simulate a trauma eventamong various possible scenarios. Simulator 13 allows verbal andgesticular interaction between person 12 wearing the simulator 13 and afirst responder (e.g. trainee, trainer, other participant) who istreating the person 12 wearing the simulator 13.

Accordingly, in using the partial task surgical simulator 13 as ateaching aid, the raiment 10 is provided with at least one woundsimulator 14 related to the simulated trauma event and at least onefluid reservoir 26 for holding a blood-like fluid 18 and is in fluidcommunication with at least one orifice 16. The vest 11 is provided onperson 12 underneath the raiment 10 and provides simulation of theinternal skeletal structure (e.g., rib cage 32) and internal organs(e.g., prosthetic organs 36) of the person 12 simulating injury in thetrauma event. Person 12 selectively expels the blood-like fluid 18 fromthe reservoir 26 and through the orifice 16 to simulate the traumaevent. Simulator 13 is used to mimic a penetrating wound by positioninga predetermined length of flexible tubing (e.g., intestine 30 or fluidchannel 28) against the inner surface 22 of the raiment 10 with aportion thereof juxtaposed with the orifice 16 of at least onesuperficial wound. At least one fluid reservoir 26 is attached to alength of flexible tubing (e.g., fluid channel 28) attached to theraiment 10 and reservoir 26 is manipulated to expel blood-like fluid 18.A first responder selectively accesses at least one prosthetic internalhuman organ 36 in the cavity 34 through at least one orifice 16 of theraiment 10 during simulation of a penetrating wound to the human body.The prosthetic human internal organs 36 are selected from among multiplecombinations of prosthetic human internal organs 36 and used in thecavity 34 of the vest 11 to simulate from among various internal organstructure injuries involved in a selected trauma event.

While the particular Wearable Partial Task Surgical Simulator as hereinshown and disclosed in detail is fully capable of obtaining the objectsand providing the advantages herein before stated, it is to beunderstood that it is merely illustrative of the presently preferredembodiments of the invention and that no limitations are intended to thedetails of construction or design herein shown other than as describedin the appended claims.

The above description of the various embodiments is provided to enable aperson of ordinary skill in the art to make or use the subject matter ofthe disclosure. Various modifications to the embodiments will be readilyapparent to those skilled in the art, and the generic principles definedherein may be applied to other variations without departing from thespirit or the scope of this disclosure. Thus, it is to be understoodthat the disclosure is not intended to be limited to the examples anddesigns described herein, which merely represent a presently preferredimplementation of the disclosure, but that the disclosure is to beaccorded the widest scope consistent with the principles and novelfeatures disclosed herein. It is to be further understood that the scopeof the present disclosure fully encompasses other embodiments that maybecome obvious to those skilled in the art.

The invention claimed is:
 1. A medical training vest wearable by aperson for simulating an external injury, the medical training vestcomprising: a torso base configured to be worn by the person, the torsobase being sized and dimensioned to cover at least a front portion atorso of the person when worn, the torso base further configured as aprotective shield against surgical instruments at least in the frontportion of the torso of the person; a simulated rib cage affixable tothe torso base, the simulated rib cage configured to form at least partof an internal organ cavity, between said simulated rib cage and thetorso base, when said simulated rib cage is affixed to the torso base; asimulated skin configured to be worn by the person, the simulated skinsized and dimensioned to cover the torso base and the simulated rib cagewhen worn, the simulated skin configured to form a rest of the internalorgan cavity, between said simulated skin and the torso base, when saidsimulated skin is worn by the person.
 2. The medical training vest ofclaim 1, wherein the simulated rib cage affixed to the torso base. 3.The medical training vest of claim 1, further comprising a woundsimulator positioned on the simulated skin.
 4. The medical training vestof claim 3, wherein the wound simulator simulates a surface woundincluding a simulated surface injury to the simulated skin.
 5. Themedical training vest of claim 4, wherein the wound simulator simulatesa penetrating wound including a orifice penetrating the simulated skin.6. The medical training vest of claim 5, further comprising a blooddelivery system configured to deliver a simulated blood to the orificeand to expel said simulated blood from the orifice in a predeterminedmanner, the blood delivery system including at least one bloodreservoir, at least one blood channel, and a means for energizing thesimulated blood sufficiently to be expelled from the orifice.
 7. Themedical training vest of claim 6, wherein the blood reservoir and theblood channel are fixed to the simulated wound, and positioned proximatethe orifice; and wherein a means for energizing the simulated bloodincludes the at least one blood reservoir being positioned to expel thesimulated blood by manipulation of the person while wearing the medicaltraining vest.
 8. The medical training vest of claim 6, wherein theblood delivery system is further configured to expel the simulated bloodin a plurality of ways.
 9. The medical training vest of claim 1, furthercomprising side portions fixed to the torso base; the side portionsbeing sized and dimensioned to cover at least a left side portion and aright side portion of the torso of the person when worn, the sideportions configured as a side protective shield against surgicalinstruments in the left side portion and the right side portion of thetorso of the person.
 10. A medical training device wearable by a personfor simulating an internal injury, the medical training devicecomprising: a torso base configured to be worn by the person, the torsobase being sized and dimensioned to cover at least a front portion atorso of the person when worn, the torso base further configured as aprotective shield against medical instruments at least in the frontportion of the torso of the person; a simulated rib cage affixed to thetorso base, the simulated rib cage configured to form at least part ofan internal organ cavity, between itself and the torso base, whenaffixed to the torso base; a simulated skin configured to be worn by theperson, the simulated skin sized and dimensioned to cover the torso baseand the simulated rib cage when worn, the simulated skin configured toform a rest of the internal organ cavity, between itself and the torsobase, when worn by the person; and an internal organ cavity locatedbetween and defined by the torso base, the simulated rib cage, and thesimulated skin, the internal organ cavity configured to receive aplurality of simulated internal human organs in at least one of anabdomen and chest area of the person, when worn.
 11. The medicaltraining device of claim 10, further comprising a wearable simulatedthorax configured for performing a simulated cricothyroidotomy whileworn by the person; and wherein the simulated skin is further sized anddimensioned to cover the wearable simulated thorax when worn.
 12. Themedical training device of claim 10, further comprising a plurality ofprosthetic internal human organs positioned within the internal organcavity, the plurality of prosthetic internal human organs assembled intoone or more packages simulating one or more internal injuries.
 13. Themedical training device of claim 12, wherein the one or more packagesinclude at least two interchangeable packages, one package arranged tosimulate injuries to lungs and heart, and another package arranged tosimulate injuries to simulate injuries to a stomach and a liver.
 14. Themedical training vest of claim 12, further comprising a blood deliverysystem configured to deliver a simulated blood to at least one of theplurality of prosthetic internal human organs, and to expel saidsimulated blood from the at least one of the plurality of the prostheticinternal human organs in a predetermined manner, the blood deliverysystem including at least one blood reservoir, at least one bloodchannel, and a means for energizing the simulated blood sufficiently tobe expelled from the at least one of the plurality of prostheticinternal human organs.
 15. The medical training device of claim 14,wherein at least one blood channel is positioned against the simulatedskin within the internal organ cavity and juxtaposed with the pluralityof prosthetic internal human organs, simulating a wound or injurieslikely to be received in a traumatic event.
 16. The medical trainingdevice of claim 15, wherein the simulated skin is further sized anddimensioned to cover areas of the person including shoulders, upperarms, groin, and upper thighs, when worn.
 17. A medical training systemwearable by a role player simulating a trauma event, the medicaltraining device comprising: a torso vest configured to be worn by therole player, the torso vest being sized and dimensioned to cover atleast a front portion a torso of the role player when worn, the torsovest further configured as a protective shield against medicalinstruments at least in the front portion of the torso of the roleplayer; an artificial rib cage affixed to the torso vest, the artificialrib cage configured to form at least part of an internal organ cavity,between itself and the torso vest, when affixed to the torso vest; araiment configured as a simulated skin and further configured to be wornby the role player, the raiment sized and dimensioned to envelope thetorso vest and the artificial rib cage when worn, the raiment configuredto form a rest of the internal organ cavity, between itself and thetorso vest, when worn by the role player; and a plurality of prostheticinternal human organs positioned within the internal organ cavity. 18.The medical training system of claim 17, wherein the plurality ofprosthetic internal human organs are assembled into one or more packagessimulating one or more internal injuries.
 19. The medical trainingsystem of claim 17, further comprising a wound simulator positioned onthe simulated skin, said wound simulator simulating a surface woundincluding at least one of a simulated surface injury to the simulatedskin and a penetrating wound including a orifice penetrating thesimulated skin.
 20. The medical training vest of claim 19, furthercomprising a means for expelling a simulated blood from at least one ofthe plurality of prosthetic internal human organs and the surface wound.